Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 21 and up

Using spirometry to manage IgG therapy in patients with Common Variable Immunodeficiency and airway disease

Official title: A Prospective Study of the Utility of Spirometry to Identify and Manage Immunoglobulin Replacement Dosage in Primary Antibody Deficiency in Patients With Potentially Reversible Airway Disease

Run by University of Alabama at Birmingham · NCT05193552 · Data updated 2026-11-12

This study is testing if increasing the dose of immunoglobulin therapy can help improve lung function in people with Common Variable Immunodeficiency who have mild to moderate airway problems.

Quick facts

PhasePhase 4
Study typeInterventional
Ages21 Years and up
SexAll
Enrollment22 (estimated)
SponsorUniversity of Alabama at Birmingham
Academic / other
Locations1 site (Birmingham, Alabama)
StatusRecruiting
StartedJanuary 15, 2024
Main results expectedDecember 2026
Study endsDecember 2027
Registry record updatedMay 4, 2026
Trial IDNCT05193552 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with Common Variable Immunodeficiency on stable immunoglobulin replacement therapy who have specific spirometry results indicating mild to moderate obstruction.

Probably not a fit

Patients under 21, those unable to perform spirometry, or with certain other health conditions will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the role of spirometry in managing immunoglobulin therapy for patients with Common Variable Immunodeficiency (CVID) who exhibit mild to moderate airway obstruction. The study will enroll 22 participants currently receiving stable immunoglobulin replacement therapy and assess their lung function using spirometry. Half of the participants will continue their current treatment while the other half will receive an increased dose of therapy over six months to evaluate improvements in lung function. The goal is to determine if higher doses of immunoglobulin can enhance lung function in patients with specific spirometry results.

Why it matters

Potential benefit: If successful, this study could lead to improved lung function and reduced pulmonary infections in patients with CVID.

How similar studies have gone: While there is existing literature suggesting benefits of increased immunoglobulin therapy, this specific approach using spirometry for titration is novel and has not been previously published.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients who meet criteria for common variable immune deficiency (CVID) who are on stable IGRT for at least 3 months and who have an FEF25-75% between 50% and 80% of predicted.
2. Patients who are already on Hizentra will be preferred.

Exclusion Criteria:

1. Age \<21 or cannot perform spirometry.
2. Smokers with 20 pack years or more, and active smokers will not be included among the study subjects, but will be considered separately as an ancillary study.
3. Patients with specific antigen-specific antibody deficiencies or X-linked agammaglobulinemia on IGRT will not be included among the 20 study subjects, but will be considered separately in ancillary studies.
4. Patients with heart failure, TB, bronchiolitis, or lymphangioleiomyomatosis.

Where it's running

  • Community Health 20
    Birmingham, Alabama, United States
    Recruiting

Study contacts

  • Principal investigator: Harry Schroeder, MD/PhD — University of Alabama at Birmingham
  • Study coordinator: Leigh Powell
  • Email: lcpowell@uabmc.edu
  • Phone: 2053319159

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    Recruiting Phase 2 National Institutes of Health Clinical Center (CC) · Bethesda, Maryland · NCT04339777

  • Transplantation of blood or marrow for treating immune system disorders

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  • Understanding the natural history of bronchiectasis

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    Recruiting National Institutes of Health Clinical Center (CC) · Bethesda, Maryland · NCT00943514

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.